About this opportunity
RHI Rehab lists this Patient Financial Services Associate opportunity in indianapolis, Indiana. Review the employer’s description below for duties, qualifications and application requirements.
Job description
The Rehabilitation Hospital of Indiana (RHI) is nationally ranked among the Best Hospitals for Rehabilitation by U.S. News and World Report for and the Best Rehabilitation Hospital in Indiana for the third year in a row. RHI provides high quality, evidence-based rehabilitation services to those facing life-changing injuries or illness. We specialize in the areas of brain injury, stroke, spinal cord injury and complex medical conditions. We offer inpatient and outpatient rehabilitation services to patients 15 years of age and older.
SUMMARY/PURPOSE OF JOB
RHI has created a unified Patient Financial Services department with revenue cycle responsibility for all aspects of cash posting, insurance clearance, insurance billing and collection. This position is responsible for patient claim review, bill editing and submission, payment follow-up, denials management, credit balances and payment posting.
The incumbent is expected to function as part of the RHI revenue management team and meet performance standards for all assigned duties.
Team members will understand and exhibit the principals of service excellence, leads by example, and mentors' others in the performance of their assigned duties. Additionally, understands that every employee is responsible for exhibiting exceptional customer service by answering call lights on the nursing unit and if not able to assist personally, will inform the appropriate employee regarding the patient's need.
Team members are expected to understand the role of employee's individual position regarding HIPAA requirements and level of access to Protected Health Information as defined in HIPAA hospital-wide policies.
Understands that it is the responsibility of every RHI staff member to provide patient safety as a priority response according to RHI evidence-based practices. Encourage patients to be actively involved in their own care as patient safety strategy.
JOB DUTIES/ESSENTIAL FUNCTIONS
Claim scrubbing
Understands payer requirements to process clean claims
Performs pre-bill claim audits
Prints non-electronic claims and mails out same day.
Billing functions
Processes Blue Cross, Medicaid, Medicare, and other commercial insurance claims using appropriate revenue codes for the claim. Reviews accounts which were rejected due to improper codes by reviewing and/or obtaining the proper ICD9 and CPT codes for the claim. Completes rejected claims properly and submits to insurance carrier.
Prepares claims for third party submission according to the insurance policy coverage guidelines
Payer Functions
Reviews the delinquent account work list for accounts with balances over 45 days old. Follows up and collects accounts. Reviews the work list for Medicare and worker's compensation accounts over 30 days old.
Follows up and collects all secondary bills. Contacts insurance companies to collect delinquent accounts by phone. Sets up schedule for patients to pay large balances on accounts according to hospital policy. Rebills as necessary.
Credit balance
Analyzes patient accounts with credit balances to determine adjustments or refunds required.
Compiles Medicare balance report quarterly
Works with Blue Cross credit balance auditors on payment corrections
Submits necessary paperwork to Accounts Payable for processing refund checks as necessary.
Payment and adjustment posting
Post electronic payments daily; balances to the check amount
Manually posts PNC lockbox balancing to the deposit amount
Manually posts all adjustments requests submitted by billing personnel.
Utilizes the accurate contractual adjustment code
Employee is focused on providing customer satisfaction (including, but not limited to, patients, co-workers, visitors, vendors and physicians) as a primary goal/outcome of all interactions; places customer first in the performance of job duties and responds to needs in a timely manner as evidenced by the absence of legitimate customer complaints.
Participates in continuous quality improvement/programs evaluation activities and observes measures to ensure Hospital, Joint Commission, CARF and other quality standards and regulations are met.
Uses appropriate technique in performing duties to avoid or minimize accidents and injury related to unsafe practice. Proactively seeks information and resources, including the Environment of Care Manual, to aid in safe performance of duties to contribute to the RHI culture of safety.
Other duties as assigned.
KNOWLEDGE, SKILLS, ABILITIES
Requires general knowledge and understanding of departmental activities and procedures. Requires knowledge of where to obtain required data to process claims.
EXPERIENCE
Minimum three years of experience in a health care environment working in either physician's office or hospital setting working with insurance verification, insurance billing and collections from governmental and third-party payers. Additional experience with self-pay collections is helpful. Billing/coding externship will be considered.
EDUCATION
High school graduate or equivalent. Medical terminology and billing experience preferred.
HOURS
Monday-Friday 7:30 AM-4:00 PM
The Rehabilitation Hospital of Indiana is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, or any other characteristic protected by law.
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Worksite address
indianapolis, IN, 46262, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.